Organization Active NPI

Well Equipt

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1891281218
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT012593 Issued in GA
Legal business name
WELL EQUIPT
Practice address
4700 Millbrook Dr NW
Atlanta, GA 30327-3549
Phone
(404) 731-7339
NPI assigned
Jul 9, 2018
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Selman RuddNPI 1174078604
Title
Physical Therapist
Phone
(404) 731-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT012593 GA Primary

Addresses

Primary practice location

4700 Millbrook Dr NW
Atlanta, GA 30327-3549

Mailing address

4700 Millbrook Dr NW
Atlanta, GA 30327-3549
Phone (404) 731-7339

Other practice location 1

3867 Roswell Rd NE Ste 300
Atlanta, GA 30342-4452
Phone (404) 731-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190329002203 GA Part B Supplier - Clinic/Group Practice 9830430826 Receives reassigned benefits from 4 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

3867 Roswell Rd NE
Ste 300
Atlanta, GA 30342
Phone (404) 731-7339

3867 Roswell Rd NE
Ste 305
Atlanta, GA 30342
Phone (678) 631-7925

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1891281218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLBROOK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273549",
            "telephone_number": "404-731-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLBROOK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273549",
            "telephone_number": "404-731-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3867 Roswell Rd NE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303424452",
            "country_code": "US",
            "telephone_number": "404-731-7339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL EQUIPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SELMAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-731-7339"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT012593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.